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psnet.ahrq.gov/web-mm/electrocardiogram-results-read-me
May 01, 2019 - Innovations
Preventing Falls Through Patient and Family Engagement to Create Customized Prevention
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psnet.ahrq.gov/perspective/patient-safety-and-opioid-medications
January 01, 2015 - This year, the Centers for Disease Control and Prevention (CDC) reported a 200% increase in opioid overdose
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www.ahrq.gov/sites/default/files/2024-11/ridley-report.pdf
January 01, 2024 - Massachusetts Coalition for the Prevention of Medical Errors
Lucian L. Leape, M.D. … Massachusetts Coalition for the Prevention of Medical Errors
Katherine Howitt, M.A. … “retention of a
foreign object” (22%), “medication errors” (18%), “patient death associated with a fall … Patient death associated with a fall while being cared for in a healthcare facility 18.
7
E. … Paula Griswold, Executive Director
of the Massachusetts Coalition for the Prevention of Medical Errors
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module1/facilitator-notes.docx
March 01, 2017 - SLIDE 3
SAY:
Why is infection prevention and quality improvement important? … PLAY VIDEO:
Video 2.1: Importance of Infection Prevention
ASK:
Why is infection prevention important … in America’s Nursing Homes campaign and the Centers for Disease Control and Prevention’s infection prevention
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psnet.ahrq.gov/primer/high-reliability
January 29, 2020 - High Reliability
Citation Text:
High Reliability. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
Downl…
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu1.html
October 01, 2014 - What are the best practices in pressure ulcer prevention that we want to use?
4. … How do we sustain the redesigned prevention practices?
7. … There are many potential reasons to implement a pressure ulcer prevention program. … Nurses' attitudes, behaviors, and perceived barriers towards pressure ulcer prevention. … facility has implemented a pressure ulcer prevention policy
Current pressure ulcer prevention
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu1.html
October 01, 2014 - What are the best practices in pressure ulcer prevention that we want to use?
4. … How do we sustain the redesigned prevention practices?
7. … There are many potential reasons to implement a pressure ulcer prevention program. … Nurses' attitudes, behaviors, and perceived barriers towards pressure ulcer prevention. … facility has implemented a pressure ulcer prevention policy
Current pressure ulcer prevention
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/cad-women-treatment_research-protocol.pdf
September 29, 2011 - Online: September 29, 2011
3
The mechanical approaches to coronary revascularization fall … We
anticipate that any included retrospective studies would fall into a grading of fair or poor. … Evidence-based guidelines for cardiovascular
disease prevention in women: 2007 update. … ‗ABCDE‘ makes an effective prevention tool. … Representation of women in randomized clinical
trials of cardiovascular disease prevention.
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psnet.ahrq.gov/web-mm/hold-order
December 19, 2018 - affect blood pressure or heart rate are often ordered to be held when blood pressures or heart rates fall … Related Resources From the Same Author(s)
Selected medication safety risks that can easily fall
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psnet.ahrq.gov/perspective/conversation-gordon-schiff-md
February 26, 2025 - The thoracic surgeon said I "shouldn't fall on my sword" because the delay didn't really change her stage … We have annual conferences, the 11th is coming up this fall in New Orleans.
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psnet.ahrq.gov/node/33751/psn-pdf
January 01, 2014 - from Medicare's Inpatient Quality Reporting (IQR) program, including process measures focused on the
prevention … In 2014, the program will expand to include the prevention of catheter-associated urinary
tract infection … The impact of computerized physician order entry on medication error
prevention.
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psnet.ahrq.gov/node/49525/psn-pdf
December 01, 2006 - Pretest Probability
Score
2 1 0
Thrombocytopenia (x 109/L) ____
Nadir 20–100, or
>50% platelet fall … from baseline
Nadir 10–19, or 30–50%
platelet fall from baseline
Nadir
Timing of onset of platelet … fall
after starting heparin
____
Day 5–10, or less
than or equal to day
1 if recent heparin*
>Day
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psnet.ahrq.gov/web-mm/hidden-heparins-hit-happens
March 27, 2024 - Probability Score
2
1
0
Thrombocytopenia (x 10 9 /L)
____
Nadir 20–100, or >50% platelet fall … from baseline
Nadir 10–19, or 30–50% platelet fall from baseline
Nadir
Timing of onset of … platelet fall after starting heparin
____
Day 5–10, or less than or equal to day 1 if recent heparin
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www.ahrq.gov/sites/default/files/publications/files/ltcmodule2.pdf
June 01, 2012 - Module 1 focuses on detecting changes in a resident’s
condition, and Module 3 covers falls prevention … may use different words to say the same thing (e.g., new words
come into general usage, while others fall … may use different words to say the same thing (e.g., new words
come into general usage, while others fall
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www.ahrq.gov/hai/tools/mvp/modules/technical/pain-mgmt-fac-guide.html
January 01, 2017 - "A" represents the assessment, prevention, and management of pain. … with safety through protocolization, the ABCDEF bundle, and delirium monitoring and management for the prevention
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/sustainability/guide.html
March 01, 2017 - facility educator train facility staff, and when appropriate, residents and families, on infection prevention … The educational bundles can be used to supplement your infection prevention orientation curriculum. … High-Performance Work Practices in CLABSI Prevention Interventions: Executive Summary.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects.pptx
December 01, 2017 - Infection rates from hospital epidemiology and infection prevention also present known complications. … Patient is not assessed for fall risk, and no preventive measures are taken.
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psnet.ahrq.gov/perspective/conversation-sharon-k-inouye-md-mph
December 01, 2012 - Delirium often sets off a spiral where someone is very confused and a fall risk, so they get assigned … RW : Can you talk a little bit about what you've learned about prevention strategies? … As with these other important end-organ injuries, delirium is a clinical event for which prevention and … The next is to systematically implement effective screening, prevention, and management strategies. … The ABCDE model is an initial framework on which new prevention and treatment strategies can be added
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/009-antibiotic-stewardship-guide.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
Antibiotic Stewardship and MRSA Reduction
ICU & Non-ICU
Slide … and Blood Culture Stewardship are essential best practices that are fundamentally important for MRSA prevention … They do not fall into any specific strategic area but are both interrelated with all four key strategies … able to benchmark these data based on national data reported to the Centers for Disease Control and Prevention … No. 25-0007
October 2024
Antibiotic Stewardship
| 1
AHRQ Safety Program for MRSA Prevention | ICU
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psnet.ahrq.gov/web-mm/crossed-coverage
September 01, 2015 - Implications for prevention. ADE Prevention Study Group. JAMA. 1995;274:29-34.